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South Dakota rates for HCPCS 93455

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$278.11 / $278.11 / $278.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.55 / $1,034.55 / $1,606.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.58 / $2,030.54 / $2,501.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.08 / $1,943.48 / $6,682.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.60 / $2,244.36 / $2,711.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.58 / $1,636.95 / $1,914.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$353.33 / $461.30 / $525.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.49 / $1,875.55 / $2,188.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.00 / $2,264.69 / $2,355.30